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一个用于监测职业性重金属吸收情况的全州病例登记系统。

A statewide case registry for surveillance of occupational heavy metals absorption.

作者信息

Baser M E, Marion D

机构信息

Department of Environmental Health Sciences, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205.

出版信息

Am J Public Health. 1990 Feb;80(2):162-4. doi: 10.2105/ajph.80.2.162.

Abstract

The New York State Heavy Metals Registry is a legislatively mandated program through which clinical laboratories, physicians, and health facilities report state residents 18 years of age and older with elevated levels of lead, mercury, arsenic, or cadmium in blood or urine. From 1982-86, the current employer was determined for 95.9 percent of 3,309 cases. Occupational exposures in 328 companies accounted for 82.8 percent of cases. The majority of companies were reported for lead (247 companies, 75.3 percent of total) or mercury (47 companies, 14.3 percent of total). Of the 247 companies reported to the Registry for lead, the Occupational Safety and Health Administration (OSHA) inspected 18 of 98 companies (18.4 percent) in the manufacturing sector, but only one of 149 companies (0.6 percent) outside the manufacturing sector. We conclude that the Registry effectively detects companies with heavy metals exposures, and is an especially useful adjunct to OSHA inspections outside the manufacturing sector.

摘要

纽约州重金属登记处是一个由立法授权的项目,临床实验室、医生和医疗机构通过该项目报告该州18岁及以上居民血液或尿液中铅、汞、砷或镉含量升高的情况。1982年至1986年期间,在3309例病例中,95.9%的病例确定了当前雇主。328家公司的职业暴露占病例的82.8%。大多数公司报告的是铅暴露(247家公司,占总数的75.3%)或汞暴露(47家公司,占总数的14.3%)。在向登记处报告铅暴露的247家公司中,职业安全与健康管理局(OSHA)对制造业98家公司中的18家(18.4%)进行了检查,但对制造业以外149家公司中仅1家(0.6%)进行了检查。我们得出结论,登记处能够有效检测出存在重金属暴露的公司,并且对于制造业以外的OSHA检查而言是一个特别有用的辅助手段。

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本文引用的文献

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